Mr. Wallace Maxwell Green

PAC | Neurology


  1275 Highway 54 W, Ste.105, Fayetteville
     Georgia, 30214-4549
  770-719-2965    770-719-2963 Maps & Directions
Mr. Wallace Maxwell Green is a Fayetteville, Georgia based neurologist who is specialized in Neurology. Active license number of Mr. Wallace Maxwell Green is 001827 for Neurology in Georgia. His current practice location is 1275 Highway 54 W, Ste.105, Fayetteville. Patients can reach him at 770-719-2965 or can fax him at 770-719-2963. Mr. Wallace Maxwell Green is PAC in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1306979059.
Mr. Wallace Maxwell Green specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Mr. Wallace Maxwell Green speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Wallace Maxwell Green
Specialization: Neurology
Gender:Male
Credentials: PAC
Practice Address:1275 Highway 54 W, Ste.105, Fayetteville,
Georgia, 30214-4549
Phone:770-719-2965
Fax:770-719-2963
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1306979059
NPI Enumeration Date: 13 Mar, 2007
NPI Last Update On: 08 Jul, 2007

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Wallace Maxwell Green are as mentioned below.
License NumberSpecializationStateStatus
001827Neurology GeorgiaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Wallace Maxwell Green
1275 Highway 54 W, Ste.105
Fayetteville, Georgia
Zip: 30214-4549
Phone Number: 770-719-2965
Fax Number: 770-719-2963
Patients can reach Mr. Wallace Maxwell Green at 1275 Highway 54 W, Ste.105, Fayetteville, Georgia or can call to book an appointment on 770-719-2965.
Comments/ Reviews:

*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.